Table 1. Sign of efficacy and MTD in 317 phase 1 oncology trials.
Trials investigating Conventional cytotoxic agents | Trials investigating molecular targeted agents | Trials investigating combination of both | |
MTD established | |||
no. (%) | 152/201 (75.6) * | 38/74 (51.3) | 18/42 (42.8) |
[95%-CI] | [69.7–81.5] | [39.9–62.7] | [27.8–57.8] |
Dose-level associated with DMT | |||
Median | 5 | 5 | 4 |
Range | 1–13 | 1–16 | 1–12 |
Sign of efficacy | |||
no. (%) | 165/201 (82.0) | 58/74 (78.3) | 31/42 (73.8) |
[95%-CI] | [76.7–87.4] | [69.8–87.7] | [60.5–87.7] |
Dose-level associated with first sign of efficacy | |||
Median | 1 | 1 | 1 |
Range | 1–7 | 1–9 | 1–3 |
First sign of efficacy seen at the first dose-level | |||
no. (%) | 57/109 (52.2) | 15/60 (25.0) * | 16/31 (51.6) |
[95%-CI] | [42.9–61.6] | [14.0–35.9] | [34.0–69.2] |
First sign of efficacy seen at the first 3 dose-levels | |||
no. (%) | 81/109 (74.3) | 29/60 (48.3) * | 19/31 (61.3) |
[95%-CI] | [66.1–82.5] | [35.6–60.9] | [44.1–78.4] |
First sign of efficacy seen before MTD | |||
no. (%) | 91/144 (63.2) | 27/44 (61.3) | 13/25 (52.0) |
[95%-CI] | [55.3–71.0] | [46.9–75.7] | [32.4–71.6] |
Sign of efficacy without MTD reached | |||
no. (%) | 26/193 (13.4) | 10/66 (15.0) | 21/32 (65.6) * |
[95%-CI] | [8.6–18.3] | [6.5–23.8] | [49.1–82.0] |
MTD: dose maximal tolerated dose;
*: p<0.05.
The total of trials within the same treatment categories could differ in the different lines because no data concerning MTD was available in 28 trials and because the first sign of efficacy was not linked to a dose-level in 64 trials.